Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $1,969.89	Facility		$1,969.89	$1,969.89	$1,969.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,989.59 / $2,501.76	Professional		$1,969.89	$1,989.59	$2,501.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $1,969.89	Facility		$1,969.89	$1,969.89	$1,969.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $1,969.89	Professional		$1,969.89	$1,969.89	$1,969.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $1,500.00	Professional		$1,500.00	$1,500.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,842.33 / $1,969.89 / $2,166.88	Facility		$1,842.33	$1,969.89	$2,166.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $2,230.06	Professional		$1,969.89	$1,969.89	$2,230.06
United Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $1,969.89	Professional		$1,969.89	$1,969.89	$1,969.89